Organization Active NPI

Altus Physician Network

  • Clinic/Center
  • Pearland, TX
National Provider Identifier
1700397320
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ALTUS PHYSICIAN NETWORK
Practice address
11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367
Phone
(281) 837-7600
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kevin Horn, MD
Title
President
Phone
(281) 837-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367

Mailing address

11233 Shadow Creek Pkwy Ste 313
Pearland, TX 77584-7367

Other identifiers 1

IdentifierTypeStateIssuer
662771OtherTEXAS MEDICAL BOARD

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508716800000",
    "number": "1700397320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY STE 313",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11233 SHADOW CREEK PKWY STE 313",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847367",
            "telephone_number": "281-837-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTUS PHYSICIAN NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-837-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "662771",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.